Let's get your
widget live

Fill out the form and we'll have your LeadGate widget set up and collecting pre-visit fees in under 24 hours.

• 1
  Submit this form

  Takes about 2 minutes. We just need your business details.
• 2
  Complete secure payment

  Pay the $199 setup fee via Stripe. Secure, instant, no surprises.
• 3
  Receive your widget code

  We'll email you a single script tag. Paste it on your site and you're live.
• 4
  Start collecting pre-visit fees

  Your AI widget goes to work immediately — qualifying leads and collecting fees 24/7.